| NPI | 1225662141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GU 100571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95160573) |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2026-02-04 |